Legarreta, John

Legarreta, John was paid $39K by Medicaid between Oct 2018 and Oct 2024, across 5 billing codes. Its largest line is 92012, Ophthalmological services: medical examination and evaluation, intermediate, established patient — 71% of everything it billed.

33Billing provider infoLEGARRETA, JOHN
WILLIAMSVILLE, NY 14221

33aNPI1629395892assigned 04/28/2010

33bProvider typeOphthalmology Physician

28Total paid$39K

24GClaims1,614

24DCodes billed5

24AFirst – last monthOct 2018 – Oct 2024

Compared with peers

Next to other Ophthalmology Physician providers in New York

Rank by total paid#527 of 1,085

Median peer was paid$34K

This provider vs. median1.1×

Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.

Box 24A · Dates of service

Paid by month

Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider

By year, as a table

Year	Claims	Paid
2018	14	$319.91
2019	107	$2K
2020	115	$3K
2021	369	$9K
2022	487	$12K
2023	333	$7K
2024incomplete	189	$6K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
92012	Ophthalmological services: medical examination and evaluation, intermediate, established patient	71%	1,146	1,084	$28K
92083		22%	396	394	$9K
92014	Ophthalmological services: medical examination and evaluation, comprehensive, established patient	5.2%	45	45	$2K
92134		<1%	14	14	$232.40
92133		<1%	13	13	$169.19

Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.